Scoring systems

Question 1

Gleason scoring

Answer 1

Used for prostate neoplasm (grade 1 to 5 with a score of 2 to 10)

Question 2

Child-Pugh

Answer 2

Is used in liver cancer to look at how well the liver is functioning.
The severity of cirrhosis can be graded using the Child-Pugh score.

Question 3

Dukes

Answer 3

is used to stage colorectal cancer and looks at how far the tumour has grown

Question 4

modified glasgow scoring

Answer 4

acute pancreatitis

Question 5

Glasgow Blatchford score

Answer 5

upper GI bleed

Question 6

Rockall score

Answer 6

Calculated after endoscopy, it is used to identify patients at risk of adverse outcomes following endoscopic treatment of an upper GI bleed

Question 7

CURB-65

Answer 7

Pneumonia

Question 8

The West-Haven Criteria

Answer 8

Used for grading hepatic encephlopathy

Question 9

Maddrey discriminant function

Answer 9

used to assess the severity of alcoholic hepatitis

Question 10

Truelove’s and Witt’s severity scoring

Answer 10

Ulcerative Colitis

Question 11

The McDonald criteria

Answer 11

used to diagnose MS.
In brief, the criteria can be described assymptoms/signs which demonstrate dissemination in space (i.e. different parts of the CNS affected) and time.

The main diagnostic criteria:
Diagnosis is based on:
- 2 or more relapsesAND EITHER
- Objective clinical evidence of 2 or more lesionsOR
- Objective clinical evidence of one lesionWITHa reasonable history of a previous relapse
- ‘Objective evidence’ is defined as an abnormality on neurological exam, MRI or visual evoked potentials

Question 12

fontaine classification

Answer 12

Peripheral Vascular Disease